Provider Demographics
NPI:1215592472
Name:GREER, STEVEN D (EP-C)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:D
Last Name:GREER
Suffix:
Gender:M
Credentials:EP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 PLAYER AVE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-5008
Mailing Address - Country:US
Mailing Address - Phone:423-277-6254
Mailing Address - Fax:
Practice Address - Street 1:385 TREMONT AVE # MS 129
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1023
Practice Address - Country:US
Practice Address - Phone:973-676-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-03
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
698108OtherAMERICAN COLLEGE OF SPORTS MEDICINE (ACSM)